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No Need To Cover Your Legs Anymore...

The Vein Clinic is a group of consultant vascular surgeons who specialise in vein treatments.

Our specialists are accredited with The Ireland Medical Council and have a particular interest in venous disease. They offer you private treatment for varicose veins, thread veins and facial veins. Included in our ranks are leading experts on vein problems.

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No Need to Cover Your Legs - Expert Treatment of Varicose Veins and Thread Veins
Expert Management of Vein Problems...

The most modern methods of diagnosis and management of vein disorders are used in the Vein Clinic.

Our specialists are recognised by private medical insurance companies for the treatment of symptomatic vein problems. For those not insured we offer affordable packages for all our procedures. Cosmetic treatments are offered at competitive rates.

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Expert Management of Vein Problems - Expert Treatment of Varicose Veins and Thread Veins
Varicose Vein Treatments, Without Surgery...

Ultrasound Guided Foam Sclerotherapy and RF Ablation are modern treatments for for varicose veins which are performed as outpatient procedures.

These allow you to carry on life as normal; there is little or no discomfort and minimal bruising afterwards.

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Varicose Vein Treatments, Without Surgery - Expert Treatment of Varicose Veins and Thread Veins

Injection Sclerotherapy for Varicose Veins

Background:

Injection sclerotherapy is widely used for superficial varicose veins. The treatment aims to obliterate the lumen of varicose veins or thread veins. There is limited evidence regarding its efficacy.

Objectives:

To determine whether sclerotherapy is effective in improving symptoms and cosmetic appearance and has an acceptable complication rate; to define rates of symptomatic or cosmetic varicose vein recurrence following sclerotherapy.

Search Strategy:

The Cochrane Peripheral Vascular Diseases Group searched their Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 4, 2006), MEDLINE and EMBASE (both inception to October 2006) and reference lists of articles. Manufacturers of sclerosants were contacted for additional trial information.

Selection Criteria:

Randomised controlled trials (RCTs) of injection sclerotherapy versus graduated compression stockings (GCS) or ’observation’, or comparing different sclerosants, doses, formulations and post-compression bandaging techniques on people with symptomatic and/or cosmetic varicose veins or thread veins were considered for inclusion in the review.

Data Collection and Analysis:

Data were extracted by authors and Review Group Co-ordinators independently. Main results Seventeen studieswere included.One study comparing sclerotherapy toGCS in pregnancy found that sclerotherapy improved symptoms and cosmetic appearance. Three studies comparing sodium tetradecyl sulphate (STD) to alternative sclerosants found no significant differences in outcome or complication rates; another study found that sclerotherapy with STD led to improved cosmetic appearance compared with polidocanol, although there was no difference in symptoms. Sclerosant plus local anaesthetic reduced the pain from injection (one study) but had no other effects. Two studies compared foam- to conventional sclerotherapy; one found no difference in failure rate or recurrent varicose veins; a second showed short-term benefit from foam in terms of elimination of venous reflux. The recanalisation rate was no different between the two treatments. One study comparing Molefoam and Sorbo pad pressure dressings found no difference in erythema or successful sclerosis. The degree and duration of elastic compression had no significant effect on varicose vein recurrence rates, cosmetic appearance or symptomatic improvement.

Authors Conclusions:

Evidence from RCTs suggests that the choice of sclerosant, dose, formulation (foam versus liquid), local pressure dressing, degree and length of compression have no significant effect on the efficacy of sclerotherapy for varicose veins. The evidence supports the current place of sclerotherapy in modern clinical practice, which is usually limited to treatment of recurrent varicose veins following surgery and thread veins. Surgery versus sclerotherapy is the subject of a further Cochrane Review.


The Vein Clinic

Suites 509-510, Q house,
76 Furze Road, Sandyford, Dublin 18

Dublin 01-2937839

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